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Electrocardiographic characteristics of distal His bundle pacing in a patient with left bundle branch block

Min Gu1, Yiran Hu1, Wei Hua1

  • 1The Cardiac Arrhythmia Center, State Key Laboratory of Cardiovascular Disease, National Clinical Research Center of Cardiovascular Diseases, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Pacing and Clinical Electrophysiology : PACE
|November 8, 2019
PubMed

Insights

Distal His bundle pacing successfully corrected left bundle branch block by placing the pacing lead beyond the block. This method achieved low and stable capture thresholds, demonstrating its feasibility.

Area of Science:

  • Cardiology
  • Electrophysiology
  • Medical Devices

Background:

  • Left bundle branch block (LBBB) can complicate cardiac pacing.
  • Conventional right ventricular pacing may not effectively capture the left ventricle in LBBB.
  • His bundle pacing offers an alternative for His-Purkinje system activation.

Keywords:
His-bundle pacingangiography

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